| NPI | 1700398302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALINA SMITH Owner/Provider 216-352-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 251E00000X Home Health | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2017-11-04 |
| Last Update Date | 2021-11-25 |